NextDimensionAI ships safer, faster healthcare voice agents with Hamming

NextDimensionAI builds voice agents for healthcare providers that handle scheduling, prescription refills, medical record lookups, and multi-step procedure workflows. The agents integrate directly with EHR systems and work autonomously, from taking the patient's call to completing multi-step processes like appointment booking.
NextDimensionAI
Location
United States
Industry
Healthcare voice AI
Stage
Private
Use cases
  • Healthcare voice agent testing
  • EHR system integration validation
  • HIPAA compliance testing
  • Latency benchmarking across carriers
“For us, unit tests are Hamming tests. Every time we talk about a new agent, everyone already knows: step two is Hamming.”
Simran Khara
Co-founder, NextDimensionAI

About NextDimensionAI

That makes reliability, latency, and HIPAA compliance essential on every deployment. Healthcare organizations expect agents to run with call-center-level reliability, respond quickly even at peak volume, and handle PHI strictly. Traditional call testing could not keep up with agents built for clinical settings.

NextDimensionAI's agents often replace entire queues, so a single wrong response or slow interaction can break trust with providers and patients. Consistent, high-coverage testing is a business requirement, not only a technical one. With Hamming, the team can:

  • Run scenario-based tests of real patient behavior, including pauses, accents, and edge cases
  • Reduce latency by 40% through controlled tests across carriers and configurations
  • Reach 99% production reliability with targeted regression tests

The challenge: manual testing could not keep up with complex clinical workflows

The team needed to validate thousands of possible call patterns, from simple scheduling workflows to complex, multi-step SOPs, without slowing its rapid development cycles. That need led them to Hamming.

The impact

Production reliability achieved
99%
Latency reduction through optimized configurations
40%
Concurrent test calls supported
200+
Automated test calls a day, up from about 20 manual calls
500+

Before and after Hamming

MetricBefore HammingWith Hamming
Daily test callsBefore HammingAbout 20 manual callsWith Hamming500+ automated calls
Production reliabilityBefore HammingVariableWith Hamming99%
Latency optimizationBefore HammingNo benchmarking capabilityWith Hamming40% reduction achieved
Concurrent test capacityBefore Hamming1 call at a timeWith Hamming200+ concurrent calls
Qualitative testing (pauses, accents)Before HammingInconsistent, hard to reproduceWith HammingSystematic, repeatable

The solution: automated, scenario-driven testing at scale

  • 01

    Scenarios that mirror real patient behavior

    NextDimensionAI uses its proprietary simulation building system to create scenario-based test cases in Hamming. Hundreds of scenarios reflect real patient behavior, from straightforward appointment requests to incomplete information, pauses, repeated questions, and unexpected call patterns.

    Coverage is not limited to clean, idealized flows. The team deliberately builds cases with long pauses, interrupted speech, and noisy environments, qualitative factors that manual calling could not capture consistently.

    Engineers tag each test and run large batches in parallel. Instead of making calls one by one, they run an entire suite at once and immediately see:

    • Which scenarios pass or fail
    • How prompt changes affect LLM behavior
    • How the agent handles variations in noise, pauses, or accents

    Hamming runs are now part of the team's default engineering workflow.

  • 02

    Controlled load testing across carriers and configurations

    NextDimensionAI also uses Hamming to benchmark configuration changes. Controlled tests measure the latency effect of:

    • Different compute regions
    • PSTN providers
    • LLM temperature and response settings
    • TTFW adjustments

    Hamming runs hundreds of synthetic calls under controlled conditions, so the team can measure the impact of each change precisely. These tests found a configuration that reduced latency by 40%.

    For example, the team measured how small fluctuations in TTFW affected patient perception, and how different PSTN carriers performed under load. The results also serve as historical reference points: when new models, telephony providers, or infrastructure environments become available, the team can quickly judge whether switching is worthwhile.

  • 03

    Preventing regressions after launch

    Internal QA tools and supervisor agents monitor production calls continuously. The QA loop combines automated evaluation with human-in-the-loop (HITL) review: supervisor agents label calls on intent accuracy, conversation quality, and completion outcomes.

    When a call is flagged, a forward deployed AI engineer reviews the agent's performance, finds the root cause, and turns it into a reproducible Hamming test. Every improvement then goes through two steps:

    • Run the new post-production test case
    • Re-run all original pre-production tests

    This keeps incremental improvements from breaking existing functionality, and the whole organization learns from every real failure. The result is a library of real-world cases: patients with strong accents, callers who give too much or too little information, prescription issues, and behavior outside any scripted flow. Each one is a test the agent must pass before any future release.

  • 04

    HIPAA compliance

    Because NextDimensionAI works in healthcare, HIPAA requirements are built into its test cases. The team writes scenarios that check explicitly whether an agent complies with HIPAA, and tests conversational edge cases such as callers trying to bypass verification by volunteering extra details, or asking the agent to read back medical history.

“Hamming's responsiveness and support feel like an extension of our engineering team.”
Simran Khara
Co-founder, NextDimensionAI

Why NextDimensionAI chose Hamming

Before Hamming, testing was manual and slow. Engineers could make only about 20 calls a day, and full-team "testing sessions" were not sustainable. Qualitative issues like pauses, hesitations, and real patient behavior were not captured reliably.

During evaluation, the team compared Hamming directly against two other voice agent testing platforms. They ran identical scenario suites, pushed each system with parallel load, and examined how each platform handled call logs, outcome completion, and result interpretation.

  • Hamming had the lowest friction from “we should test this” to running actual tests
  • New engineers could onboard quickly
  • Competing platforms struggled with parallel load, and their test agents went silent under stress
  • Hamming stayed stable at 200 concurrent test calls
  • The workflow matched how the engineering team already worked

The results

Hamming is now the foundation of how NextDimensionAI builds, tests, and ships healthcare voice agents. With a consistent testing workflow and empirical performance data, the team has scaled both speed and reliability in ways manual testing did not allow.

Hamming also changed how the team structures development. Engineers rely on objective scenario coverage to decide when to deploy. As the product expands to more specialties and workflows, Hamming gives the team a foundation for consistent behavior across all its agents.

What changed

  • 01

    Faster development cycles

    With Hamming in its workflow, NextDimensionAI moves quickly from design to production. Design, development, and testing share one consistent QA process, so the team can check behavior and ship updates with confidence. Its voice agents now reach 99% reliability on production calls.

  • 02

    Better customer onboarding

    Hamming is now part of NextDimensionAI's onboarding. The team runs live simulations of 50 simultaneous calls, giving customers a real-time view of how the agent performs inside their own AI platform.

  • 03

    A QA system that scales with the roadmap

    As NextDimensionAI expands its product, Hamming lets the team test at scale without slowing development. The growing library of scenarios, benchmarks, and real-world cases means each deployment builds on the reliability of the last.

“We go to our customers knowing what will work and what won't, not hoping. That's a big difference in how fast we can move.”
Simran Khara
Co-founder, NextDimensionAI